HomeMy WebLinkAboutSLEEPY HOLLOW #2 BLK 2 LT 25Sleepy Hollow
#2
Block 2
Lot 25
#051-511-16
Municipality of Anchorage '`
_ I Development Services Department
\ — Building Safety Division
On-Sde Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
www.ct.enchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW050216 PID Number. 051-511-16
N.".'
Robert Paula Ca4mmod
Wastewater System: ®New ❑ Upgrade
ABSORPTION FIELD
A° 1517 Old Glenn. Eacle River. AK 99577
Ph" NinW OF Bi410pn•
® De•P Tmrch O Slava. Tmxh O Bad O Mad O Dewy
LEGAL DESCRIPTION
Sod 'W�
0.6 GPDIFI•
Tar wpn rmm p.a.
13.3. D FI.
Bock Lal S"vmm'
D•Mn m PW bW= can aynr Rr
Cr. OepNe Mme
2 25 Sleepy Hollow #2
5.98 Ft.
7.0 FL
Tawra"p RXpe Swm
Filla .00r. ayarl P.".
Grnr LWVM.
'0.79 to 1.17 Ft.
72 Ft.
Well: ® New El Upgrade
Geww wdN'.
3.0
Nunes r r
1
Dw.ns erw+.n
Ft.
—7
FL
cWW"nn iPrlrr., A B. cr
T" D.Mrt
Cram'
1
Tdr raptan rw
1008 Fe
P.P. Mr.nr
D3034 & F810
Private
600 Ft.
412 Ft
DnW.
Dr. Drftd
St Wrr L.vr
1WW1W'.
Dr. h.tr
Sulli an 17/14/05
1 151 Ft
CMM
08/30/05
r dPiro
sr r
Crq rt.gM At w Gmuta
TANK
2 GPM
nkn n Ft
2 ft
SEPARATION DISTANCES
N Septic ❑ Holding ❑ S.T.E.P. ❑ Other.
To
Septic
Absorption
Litt
Folding
PublxlPmt
'a•r
Y
Flom
Tank
Field
Station
Tank
Sewer Line
Premier Plastics
130OGr.
vital
100'+
100'+
NA
NA
25'+
`"�«W
HDPE
Nuno«r
2
Sufo.vmw
100'+
100'+
NA
NA
LIFT STATION
Lr Ltrr
5'+
10'+
NA
NA
Ga,
5'+
10'+
NA
NA
° P `` o-
owoo oomr
Faadran
h
m
h
NA
*50'+
NA
NA
P'anp/d &Mmlr
Ercvxal h•pw:t roWaam.a by
C~ot n
1
R" ""BENCH
*None known. Tank Insulated & trench
MARK
bn. d wp"
parallel with grade.
Top of garage door slab
MsunM EYwrun
100 FL
Engineer's Stamp
1� OF A( Ott
i�Q'C•,......•.,,aQs, f�
••••9,I�0
AV
*4 �•
IDates: 1st B/30/05
Inspections performed by: KND Engineering. nc.
so**.*. •• •• • /
2nd 8/30/05
00,.. ,
ti: ... .......
Kenne:n QO
L),J •W
d
Development Services Department Approval 3/24/06
^ r.
�S CE 7116
4s
Date: q-25--
Reviewed and approved by:
FESSt
(I.. two)
`�\�FESSIZ �
AS -BUILT SYSTEM DETAILS/SITE PLAN
SLEEPY HOLLOW SUBDIVISION #2 B2 L25
NS
?S ~ >'
EXIST WELL
'f \700
% poly
2
.,.....
'� • • • ' `TBM FCO
ar \
...
co� 1300 G r • ; 0 TH05-1
EV SEPTIC TANK •,• _ _ sMT 1
PRIMARY FIELD '•''
o " MT
10' ESMT
z z5 ' r�0
..
A—C=27'
DRAM:
B—C=
Caacm: bmw
DATE
A—D=2828'
B—D=21'
7�.'
7(n
A—E=55'
05-046
S—E=61'
A—F=55'
B—F=63'
1300SEPC L
A—G=86Ep
IC
SANK 1
B—G=57'
A—H=90'
B—H=60'
95.2
,
94.9
of A 9j
KENNE D us
`.
f.5....
%nssla'o
!
PERMIT#: SW050216
PID#: 051-511-16
KRD
0 PREP I �1
_ ---"TH05-2 SCALE: 1• - so'
I� 72' - I own
81.5
PREPARED FOR:
CMM CONSTRUCTION
11517 OLD GLENN HWY
EAGLE RIVER. AK 99577
FIELD BOOKS
;0—.r.
STUNG
ASBUIF
DWI na
A n r.
S.kWELL k SEPTIC — Filed Br Legol\9Ngy Hallow Suba
COWVTm:
DRAM:
m
Caacm: bmw
DATE
04/03
GRn
NW1060
Joe R"
05-046
25\05046 D,D.awq
SCALE: NTS
ABBREVIATIONS
BOH = BOTTOM OF TESTHOLE
CO CLEANOUT
MT
MONITORING TUBE
IK M) ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)888-3791/FAX (907)888-3793
MAR -24-06 12:20 PM CMM GENERAL CONTRACTORS 696'8758 i P.02
.. , uee�io7 , I SLiLlV4H I i I POrk et.iel
I I
i I
�Certffieb �rfri r i {xci
l: g
by
4 ! SULLIVAN 'NATER WELLS �
P.O. BOR FRWa, CNUGIAX, ALAaKA Mal *111EMNONE fin -2700
_ 1 I
OWNER OF I :1 a0ISS[ i &!t&±: Cif lk a oat ru OAU1 I I i I
ADORED$: I ►P�to I .
LEGAL DE ON:_It I e r clot P&"a w #,� r
sc►vdnoN �.�r,..t c � ta,c
T o J tf4 0,10C.0.6 -j
07
t7f(iE:._LL 7j "11 c _ i _ . _ . I n / r-.
,•1.. i 7 f
PERMIT NUM O t L Date of L.&m .7 •L- jo
f I TAX IDEnF1CA ON NUMBER: orl fir, - • L�
j Is*Ml located atlappomd pWmlt location? bAQ ONO
fAstrad of DMlkijt+ Odf�io Dry 0 cabletool
Depth of Wei:
nG Tiller Wall Thirkrrm , a hcnoa
I D1=g0ItY InoheC, depth 'o% i /2 led
Lhely;m w. hail!
Oeshp Stickup Gro":—fed
+.' swift Water Lav h (S 1 p�
Raeowr Rale ypm
Method of Tour v
i Well Make Ops 09 Type 0 open end 13 open hole
r %� ' ,' � OSoreeMd; Stag feat Stoppod toot
}` ' I s+taatbna Stul.Js.—feetStoCMd Li�taet
i{{ . rg
11: I. Pt.d�T1S C1 fwalarxS
`. Depth, from loot, to feM
; Well Disinfected Ppon
Compbbont bArm 0 No
i' Mee,od a DUwtfpetan: _ e E4.+.e ..at �'O /,
{
i,.�w.�.e�s/d�t+�✓e'er.
Sec r'f �'Aa4 6.e,c /e
' 'r/bell~ I�i1tc1Kt7
lo} ,CnT 3,,wo r' T/a.
I
onik►rs Nom. ,�_
IIfTSMON: h aro reeporuibkity of the property owner to su Jt a copy of the wall lop to tho proper a *vdty. ML6dpattty
.. Artettonpeplptrh
Oant of arv�
8 Human 8at antYor Dopa tment of FlrvkprYntltal (On9afVegOn. MStSu Borough
D
• ' epuhnent of frn4l t.onaerommer vMlon.
� 1
i I
i
i
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM 1 WATER SUPPLY PERMIT
Initial
Date Issued: Jul 08, 2005
Expiration Date: Jul 08, 2006
Permit Number: SWO50216 Parcel ID: 051-511-16
Legal Description: SLEEPY HOLLOW #2 SUBDIVISION BLOCK 2 LOT 25
Design Engineer: 0070 KND Engineering Site Address: NHN MOUNTAIN CIRCLE
Owner Name: ROBERT & PAULA CAYWOOD Lot Size: 57648 SO. FT.
Owner Address: 11517 OLD GLENN HIGHWAY Total Bedrooms: ,i m Permit Bedrooms: 'q
EAGLE RIVER. AK 99577 -
This permit is for the construction of:
❑/ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage
All construction must be in accordance with:
The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by catling
(907) 343-7904(24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Slr7/XX>5
Received By:
Issued By:
Date: Z ��
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
ted FOR A SINGLE FAMILY DWELLING
Parcel I.D. n5l - F� 1 I - I (C' Permit Number SW
Property owner(s) Robert & Paula Caywood
Day phone 694-8758
Mailing address (1)11517 Old Glenn HWY
Mailing address (2) Eagle River. AK
Zip Code 99577
Z
Legal description (Lot, Block & Sub'd.) Sleepy
Hollow Subdivision Block 2, Lot 25
Legal description (Section, Township & Range)
Lot Size 57.648 Acr S .F
Number of Bedrooms 3
THIS APPLICATION IS FOR:
Sewer Only ❑
Well Only
❑
Sewer and Well ®
Water Storage
❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑
Jacuzzi
❑
Swimming Pool ❑
Water Softening Unit
❑
Therapy Pool ❑
certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
of
Permit Fees: 4w -co 4
Date of Payment:
Receipt Number:
(Rev. 12/00)
or authorized agent)
41
Fees:
Date of Payment:
Receipt Number:
KINID ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
/FAX
August 16, 2005
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: Design Modification SW050216 — Sleepy hollow Subdivision, Block 2, Lot 25
Gentlemen:
Due to the elevation and location of the foundation, an additional testhole was
performed to verify soils for the proposed on-site wastewater system of the above
subject property, which subsequently has required modification of the permitted
design. Please see the attached soils/ percolation results and modified design for the
proposed 4 -bedroom house.
There are no public or private wells within 200' of our proposed system location except
as noted. There is no surface water within 100' of the proposed system and there are no
known curtain drains within 50'. We do not expect there to be any adverse effect on
adjacent lots by the development of this system.
If you have any questions, please contact me at 868-3791 /FAX 868-3793.
Respectfully submitted,
MD Engineering, Inc.
Wastewater Absorption System Details/Site Plan
Soils Log/ Percolation Test
WASTEWATER DISPOSAL SYSTEM DETAILS
SLEEPY HOLLOW SUBDIVISION #2 B2 L25
DIMENSIONS
A—C-10.6'
B—C-24.7'
A—D-85.2'
B—D-93.0'
A—E-28.7'
S—E-21.4'
Co
"F -4Z 45,'
PREPARED FOR:
� Q 1
* TE9.k
CMM CONSTRUCTION
11517 OLD GLENN HWY
EAGLE RIVER. AK 99577
0,
694-8565
3 ',
CE 71 ya jof
1
\ `PESSlONp1' /
FIELD BOOKS CONMTED:
eaw•Rr. DRAM: ort Asm
STMND: CHEMED: bmw
•Se T. DATE: 08/16/
0, LE CRUD: NW1060
"CAD ^E 05046.dwg '10B "" 05-046
\vlk�<oo
to:La
K�
b
?9
FLAT
0 30
GRAPHICSI
SCALE: 1:30'
ABBREVIATIONS
BOH - BOTTOM OF TESTHOLE
CO - CLEANOUT
MT — MONITORING TUBE
FCO - FOUNDATION CLEANOUT
Scale: 1"= 30'
PAGE 2 OF 2
IE HDENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)868-3793
WELL & WASTEWATER DISPOSAL SYSTEM SITE PLAN
SLEEPY HOLLOW SUBDIVISION #2 82 L25
�t T > C t• o
�` /
4
a(N [r
KID o
O
■,►^lll a V
�xFJ T
ttii>, •� ;� °J:._ �-PROPOSEDHOUSE
100
RAPHICS SCALE
SCALE: 1:100'
1500
SEPTIC '
1 � TRENCH
f�• ` \
S
oBl oc CTI,
EXIST WELL
pho
NOTE: See AMC 15.65 for DESIGN DETAILS
design standards. 4 BDRM X 150 GPD - 600 GPD
600 GPD/0.6 GPD PER SQ. FT. (25 MIN AN.) - 1000 SO. FT.
(1000 / (2 X 7- SEWER ROCK) a 72 FT. TRENCH
USE 1 TRENCH — 72' (L) X 3- (W) X 7' (D)
Total depth of system Is 13' max from originalgrade.
Total depth of gravel below distribution pipe is 7.
Mo PUOUC *CLS WHIM 200' Or
PROPOSED SKTEY.
NO MVAR OCUS WITHIN 200' OF
PROPOSE) SYSTIA EXCEPT AS MOWS.
MO SEPnC SYSTEMS "MN tar OF
PROPOSED TELL EXCEPT AS MORD.
OF ALPk
\
V7 I
`ZINNEfH d. D
EI a
\cD E'ESSIOT�p4 �
NOTES:
1. INSTALL 1500 GALLON SEPTIC TANK dE INSULATE IF < 4' COVER
2. INSULATE TRENCHES WITH 2" HD BURIAL FOAM.
3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK.
4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE
MIN. 3' COVER IF REQUIRED.
5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS.
PREPARED FOR:
CMM CONSTRUCTION
11517 OLD GLENN HWY
EAGLE RIVER, AK 99577 Scale: 1"= 100'
694-8565 1 PAGE 1 OF 2
FIELD BOOKS
CCMPURu
JEND ENGINEERING, INC.
20441 PTARMIGAN BLVD
EAGLE RIVER, AK 99577-8736
90LAmt DRAM: rsm
S mNa- CHECKED; bmw
Y; jU
r
a '*
PROPOSED
DRI
ACA° FLE` 05046.dwg ""': 05-046
r� I�
` r�
o
` �'•
�7
p �a1'G'0.'��.
��
I
z 2.1 . 61O
100
RAPHICS SCALE
SCALE: 1:100'
1500
SEPTIC '
1 � TRENCH
f�• ` \
S
oBl oc CTI,
EXIST WELL
pho
NOTE: See AMC 15.65 for DESIGN DETAILS
design standards. 4 BDRM X 150 GPD - 600 GPD
600 GPD/0.6 GPD PER SQ. FT. (25 MIN AN.) - 1000 SO. FT.
(1000 / (2 X 7- SEWER ROCK) a 72 FT. TRENCH
USE 1 TRENCH — 72' (L) X 3- (W) X 7' (D)
Total depth of system Is 13' max from originalgrade.
Total depth of gravel below distribution pipe is 7.
Mo PUOUC *CLS WHIM 200' Or
PROPOSED SKTEY.
NO MVAR OCUS WITHIN 200' OF
PROPOSE) SYSTIA EXCEPT AS MOWS.
MO SEPnC SYSTEMS "MN tar OF
PROPOSED TELL EXCEPT AS MORD.
OF ALPk
\
V7 I
`ZINNEfH d. D
EI a
\cD E'ESSIOT�p4 �
NOTES:
1. INSTALL 1500 GALLON SEPTIC TANK dE INSULATE IF < 4' COVER
2. INSULATE TRENCHES WITH 2" HD BURIAL FOAM.
3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK.
4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE
MIN. 3' COVER IF REQUIRED.
5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS.
PREPARED FOR:
CMM CONSTRUCTION
11517 OLD GLENN HWY
EAGLE RIVER, AK 99577 Scale: 1"= 100'
694-8565 1 PAGE 1 OF 2
FIELD BOOKS
CCMPURu
JEND ENGINEERING, INC.
20441 PTARMIGAN BLVD
EAGLE RIVER, AK 99577-8736
90LAmt DRAM: rsm
S mNa- CHECKED; bmw
ASBMATDAR:
8 16 0
°"Di
NW1060
..........::
(907)868-3791/FAX (907)888-3793
ACA° FLE` 05046.dwg ""': 05-046
KINID ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
SOILS PERCOLATION TEST
Performed for: CMM Date Performed: 8/15/05
Project: SLEEPY HOLLOW #2, B2, L25 TEST HOLE # 05-2
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
Depth
(Feet)
20 -
SEE ATTACHED SITE PLAN
Org/OL FOR HOLE LOCATION
GW/gp
GM/SM - w/ pockets gp/sp
silt decreasing w/ depth
B.O.H.
HOLE PRESOAKED
PRIOR TO TEST
Was Ground water encountered? NO What depth? NA
T1-12005-1 was monitored for groundwater & is w/in system location.
Depth to water after monitoring? NA Date? NA
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
8/16/05
1:00
6"
-
2
1:30
30 min
412/16"
14/16-
3
1:31
6"
-
4
2:01
30 min
4 12/16"
1 4/16"
5
2:02
-
6-
6
2:32
30 min
413/16"
13/16"
'
Water
Added
Percolation Rate 25 - (min/ in) Pere Hole Diameter 6„
Test Run Between 6.5 feet and 7.5 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
K V L ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)868-3791/FAX (907)868-3793
July 14, 2005
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: New sewer/well permit resubmittal — Sleep Hollow Subdivision#2,
Block 2, Lot 25
Gentlemen:
The owner has requested we proceed forward to obtain a septic and well permit on the
subject lot. On June 26, 2005 one testhole for the proposed system were performed. The
results of this test are on file with you. The general slope of this lot is from northeast to
southwest at a grade of approximately 2-5%.
We have designed our system utilizing the existing testholes that was excavated for the
4 -bedroom house, which is proposed for this lot. The lot will be served by an
individual well, located on the northwester portion of the lot. We propose to install 1-5'
wide trench. Water was not encountered during the excavation or monitoring.
There are no public or private wells within 200' of our proposed system location except
as noted. There is no surface water within 100' of the proposed system and there are no
known curtain drains within 50'. We do not expect there to be any adverse effect on
adjacent lots by the development of this system.
If you have any questions, please contact me at 868-3791/FAX 868-3793.
Respectfully submitted, Of -..A
KND Engineering, Inc.
CE 1I
P.E.
WELL & WASTEWATER DISPOSAL SYSTEM SITE PLAN
SLEEPY HOLLOW SUBDIVISION #2 B2 L25
E T WEL11 �
K D 3' o • 3
'pA,
y
A c "A
PROPOSED HOUSE
PROPOSED
to
112.'1+ qts:
'y M15.00'60.
E
EXIST WELL
PROPOSED PROPOSED a
1500 GAL
zTRENCH �Q
-s ASEPTIC TANK
F 26
p 100 \ \\
GRAPHICS SCALE loeJ \ D,
SCALE: 1: 100'
NOTE: See AMC 15.65 for DESIGN DETAILS
design standards. 4 xl50(FILTER MATERIAL) 600 SQ. FT
(600 / 5' (W)) x 0.5(4' GRAVEL RF) — 60 FT. TRENCH
USE 1 TRENCH — 60 L) X 5' (W) X 4' (D)
Total depth of system Is 7.5' from original grade.
Total depth of gravel below distribution pipe Is 4'.
•EXCAVATE TOP • RFM LL A �•
No PUBuC WLLS wn1N 200' OF 2•
PROPOSED SYSTEM. w
00 NOTES:
M MATE wens"THIN200' K
NO
PROPOSED SYSTEM SMSTEMS EXCEPT 220ON' OF 1. INSTALL 1500 GALLON SEPTIC TANK do INSULATE IF < 4' COVER
PROPOSED nui EXCEPT AS NOTED. 2, INSULATE TRENCHES WITH 2' HD BURIAL FOAM.
3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK.
4. ADDITIONAL FILL WALL BE ADDED OVER SYSTEM TO ACHIEVE
MIN. 3' COVER IF REQUIRED.
5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS.
i o� OF ALgS PREPARED FOR:
/�F' 1 CMM CONSTRUCTION
"y 11517 OLD GLENN HWY
4 TH *T EAGLE RIVER, AK 99577 Scale: 1"= 100'
694-8565 PAGE 1 OF 2
U '/ FIELD BOOKS COMPUTED, �Y
a eaNDAAr. DRAM: JEHID ENGINEERING, INC.
�j - `2`"w� :TAXNc ox«m, art
20441 PTARMIGAN BLVD.
1 � % �3 0� Amu Ln
DATE. EAGLE RIVER, AK 99577 8736
1 \"D. 07 07 0s
sstoan�
D EXE: DIM: NW1060
\``'! ACAD i"; 05046.dwg '108 8D, 05-046 (907)888-3791/FAX (907)868-3793
0
OF 4Z4's"'
/ * TE* 9* .0
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\``.' —w
DIMENSIONS
A -C-169.8'
B -C-120.4'
A -D-156.4'
B -D-141.2'
A -E-212.6'
B -E-152.3'
PREPARED FOR:
CMM CONSTRUCTION
11517 OLD GLENN HWY
EAGLE RIVER. AK 99577
694-8565
FIELD BOOKS
BOu+ou+r.
STMUNG
AS T.
DAG /KE:
ACAD Fu:..�.., r
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DRAM: artrt
seam: art
DAM 07/0711
tl°° NW1060
"Ka' 05-046
W
FLAT
0 30
GRAPHICSI
SCALE: 1:30'
ABBREVIATIONS
BOH - BOTTOM OF TESTHOLE
CO - CLEANOUT
MT - MONITORING TUBE
FCO - FOUNDATION CLEANOUT
Scale: 1"= 30'
PAGE 2 OF 2
LEDI J19 ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)868-3791/FAX
d
WASTEWATER SYSTEM HOLDING TANK DETAILS
SLEEPY HOLLOW SUBDIVISION #2 B2 L25
e .M
OF A.Lq
9TH * I
Z KENNETH M. US '
CE- I
�'�b' FESSIONPV �
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d
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n
1500 GAL
HOLDING
TANK
DESIGN PROFILE
PREPARED FOR:
CMM CONSTRUCTION
11517 OLD GLENN HWY
EAGLE RIVER, AK 99577
694-8565 PAGE 3 OF 3
FlELa BOOKS CWftTED:
JE ENGINEERING, INC.
8"BAar. DRAM: ort
svunw: C"Lata]: kmd 20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
A9 &T. DATE: 07/14/05 __ .
>:.:.......>...........::»....................:::...........:::::
t!m °"O: NW1060
"CAC ^� 05046.dwa 108 ""` 05-046 (907)868-3791/FAX (907)868-3793
Y V D ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)868-3793
July 7, 2005
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: New sewer/well permit - Sleep Hollow Subdivision, Block 2, Lot 25
Gentlemen:
The owner has requested we proceed forward to obtain a septic and well permit on the
subject lot. On June 26, 2005 one testhole for the proposed system were performed. The
results of this test are attached. The general slope of this lot is from northeast to
southwest at a grade of approximately 2-5%.
We have designed our system utilizing the existing testholes that was excavated for the
3 -bedroom house, which is proposed for this lot. The lot will be served by an
individual well, located on the southwester portion of the lot. We propose to install 2-5'
wide trenchs. Water was not encountered during the excavation or monitoring.
There are no public or private wells within 200' of our proposed system location except
as noted. There is no surface water within 100' of the proposed system and there are no
known curtain drains within 50'. We do not expect there to be any adverse effect on
adjacent lots by the development of this system.
If you have any questions, please contact me at 868-3791/FAX 868-3793.
Respectfully submitted,
KND Engineering, Inc.
4net�Kh
M. Duf , P.E.
Attachments: On -Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
K D
WELL & WASTEWATER DISPOSAL
SLEEPY HOLLOW SUBDIVISION
C`+ 'EXIST WELL ; r !�
\: • e c7',. is
11 zs f
PROPOSED HOUSE
PROPOSED DRIVE
to,
g ;l
N`Ir. •' r
ow
J�3.9� n
100
tAPHICS SCALE
SCALE: 1:100'
NOTE: See AMC 15.65 for
design standards.
NO PUBLIC WELLS MT/M/ 200' Or
PROPOSED SYSTEM.
NO PfWVATE WELLS MINIM 200' OF
PROPOSED SYSTEM EXCEPT AS NOTED.
NO SEPTIC SYSTEMS WD 200' OF
PROPOSED WELL EXCEPT AS NOTED.
% �QOF A 4, ''
KENNETH jFUSiCE- 11
gIbFESSIO'A' A /
Qft�Op R� PROPOSED
�. TRENCH
Al
SYSTEM SITE PLAN
#2 B2 L25
i �✓
W
'ROPOSED 1250
;AL SEPTIC TANK
EXIST WELL
2
16
DESIGN DETAILS
3 x150(FlLTER MATERIAL) - 450 SQ. FT
(450 / 5' (W)) x 0.5(4' GRAVEL RF) a 45 FT. TRENCH
USE 1 TRENCH - 45 L) X 5' (W) X 4' (0)
Total depth of system is 7.5' from original grade.
Total depth of gravel below distribution pipe is 4'.
EXCAVATE TOP 2', REMOVE ORGANICS k itFALL
2' MOA APPROVED FILTER MATERIAL BOT. OF TRENCH
NOTES:
1. INSTALL 1250 GALLON SEPTIC TANK k INSULATE IF < 4' COVER
2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM.
3. CONTRACTOR WALL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK.
4. ADDITIONAL FILL WALL BE ADDED OVER SYSTEM TO ACHIEVE
MIN. 3' COVER IF REQUIRED.
5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS.
PREPARED FOR:
CMM CONSTRUCTION
11517 OLD GLENN HWY
EAGLE RIVER, AK 99577 Scale: 1"= 100'
694-8565 PAGE 1 OF 2
FIELD BOOKS CDMPuaD:
JEHID
BOUNDARr. DRAWN: ENGINEERING, INC.
r 20441 PTARMIGAN BLVD.
STAaxG a�«ETM art EAGLE RIVER, AK 99577-8736
ASBUILT: DATE: 07/07/05 __.. _._ ... .._..
OML FILE. MO: NW1060
ADAD ^'E' 05046.dwa "De "•': 05-046 (907)868-3791/FAX (907)888-3793
WASTEWATER DISPOSAL SYSTEM DETAILS
SLEEPY HOLLOW SUBDIVISION #2 B2 L25
1
c
ALq 6� 1
�49TE9 ,l
iJill'KENNETH Y. F S ' /
CE -7 6
` ` phbFESSlO�p4
FCO
521
A -C=148.4'
B -C=67.1'
A -D=155.4'
B -D-126.3'
A -E=198.6'
B -E-134.7'
PREPARED FOR:
CMM CONSTRUCTION
11517 OLD GLENN HWY
EAGLE RIVER, AK 99577
694-8565
00
2-, K
If b
�9
FLAT
0 30
—"--
GRAPHICS
SCALE: 1:30'
ABBREVIATIONS
BOH = BOTTOM OF TESTHOLE
CO = CLEANOUT
MT - MONITORING TUBE
FCO = FOUNDATION CLEANOUT
Scale: 1"= 30'
PAGE 2 OF 2
FlELD BOOKS
CCuwaa:
JEND ENGINEERING, INC.
20441 PTARMIGAN BLVD.
RIVER, AK 99577-8736
n=c DRAM
STMNQ C"E«Ea art
A�r
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DAMEAGLE
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07/07/05
NW1060
__. __.... .. _ .
(907)888-3791/FAX (907)868-3793
AC "LE`05046.dwg 00"" 05-046
K V D ENGINEERING, INC.
20141 PTARMIGAN BLVD.
SOILS PERCOLATION TEST
Performed for: Paula, CMM Contractors Date Performed: 6-23
Project Location: Sleepy Hollow Subdv #2 Block 2, Lot 25 Test Hole #: 2005-1
Depth
(Feet)
ORG - black/red loam w/ org
GP -dense, dry gray gravel
w/silt, cobbles to 1'
GP -SW -dens, gray gravel w/ silt,
cobbles to 8"
B.O.H.
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Cround water encountered? NO What depth? NA
Deplh to water after monitorin¢? NO Date? 6/23/05
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop_
1
6/23/05
3:02
-
6W
-
2
3:04
2 min
2"
4%-
3
3:05
-
6"
-
4
3:07
2 min
2"
4"
5
'
3:07
6"
-
6
3:09
2 min
2"
4"
7
3:10
-
6 W
-
8
3:12
1 2min
2"
4Sx"
9
10
11
' Water Added
Percolation Rate 0.59 (min/ in) Perc Hole Diameter 6"
Test Run Between 3 feet and 4 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
Kl V L ENGINEERING, INC.
20141 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
696-6111/FAX (907) 696-8111
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS
LEGAL DESCRIPTION: Sleepy llollow SID, Block 2, Lot 25
GENERAL:
1. The scope of this project includes the installation of a septic tank and/or drainfield to serve a
single-family residence on the referenced property as delineated on the attached Municipality
of Anchorage (MOA) permit and site plan.
2. Construction shall be in accordance with the approved site plan and design drawings; MOA
permit with any special provisions or conditions, and all applicable State and Municipal
Wastewater Disposal Regulations.
3. KND Engineering, Inc (KND) assumes no responsibility of the accuracy of the as -built survey
provided by the owner or owner's representative.
4. The owner or contractor is responsible to notify the engineer of any discrepancies noted on the
design plans or drawings prior to commencing work. These discrepancies could be, but not
limited to, possible encroachments, surface water, varying soils, unplatted easements, types or
use of dwellings on or adjacent to property, nearby public wells, etc.
5. The contractor shall be responsible for locating any necessary underground utilities, easements,
property lines and surface water. The owner and/or contractor shall ensure, if deemed
appropriate, that a registered land surveyor prior to construction flags all setbacks.
6. The contractor shall be responsible for verifying all pertinent separation distances and
component layout.
7. Unless specifically agreed otherwise, the property owner shall be responsible for final grading
areas subsequently depressed from soil settling. On all leachfield mound systems, the property
owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded
area.
8. The MOA Development Services Department On -Site Water & Wastewater Program must
certify contractors installing wastewater disposal systems. Owners installing their own systems
must also receive prior approval from said MOA Department.
SEPTIC TANK/ HOLDING TANK/ LIFT STATION INSTALLATION:
1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall
include two 4" cleanouts for pumping access.
2. The septic tank shall be sufficiently bedded with proper material and compacting to prevent
damaging, settling or shifting of the tank.
3. All standpipes on the septic tank shall extend a minimum of 12 inches above the final grade.
4. Septic tanks installed with less than 4 foot of cover shall be insulated. The contractor will
ensure that the fill over the tank does not exceed the burial depth rating.
5. A foundation cleanout shall be installed one to four feet from the building foundation. In the
line between the tank and the leachfield there shall be two adjacent cleanouts (unless an
Page 1 of 3
Reference: Sleepy Hollow S/D, B 2, L26
Date: 07/07/0.5
Page: 2 of 3
effluent pumping system exists within the septic tank). These cleanouts shall be located on
undisturbed soil not more than 10 feet from the tank. The second cleanout, in line, shall be to
clean toward the septic tank.
6. Final grading over the septic tank shall be such that a positive slope exists away from the septic
tank.
7. All H.D.P.E. tanks shall have a vertical length of 4 -inch perforated drainpipe besides the tank
extending to the bottom of the tank to above grade to monitor ground water.
8. All tanks shall be anchored when there is not enough adequate soil cover to resist buoyancy
forces in high -groundwater areas.
9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence.
10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA
guidelines.
11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform
Plumbing Code. The contractor is solely responsible for the abandonment procedure.
ABSORPTION TRENCIVDRAINFIELD INSTALLATION:
1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the
excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared,
they must be raked or scratched (roughed -up) before gravel (sewer rock) placement.
2. Once the sewer rock is installed, the distribution pipe is installed level with the perforations
facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum
of 2 inches of cover over the pipe.
3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure
the silt barrier covers the entire gravel surface before placing backfill.
4. Monitoring tubes shall be four- (4) inch diameter, installed approximately in the locations
shown on the design, and extend a minimum of 12 inches above final grade. The portion of the
monitoring tube extending through the gravel shall be perforated from the bottom of the trench
to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as
noted on the design.
5. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be
installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the
trench must be mounded to prevent the formation of a depression after settling.
6. All advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent
Dosing Sand Filter, etc...) shall be constructed, installed, maintained and monitored per
manufacturer's specifications and MOA requirements.
MINIMUM MATERIAL SPECIFICATIONS:
1. A MOA approved septic tank manufacturer must construct any septic tank proposed for
installation.
2. The following pipe materials are MOA approved for use in septic system installations:
Type of Pipe
Perforated
Solid
Cast Iron
Yes
Yes
ASTM D3034 (PVC)
Yes
Yes
ASTM F810 (HDPE)
Yes
No
ASTM D2662 (ABS)
Yes
Yes
Reference: Sleepy (follow S/D, B 2,116
Date: 07/07/05
Page: 3 of 3
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company
Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or
equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between
the final leachfield gravel layer and the native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing
the #200 sieve. If deemed necessary, a sieve analysis should be performed.
7. When sand is being used as a filter material, its gradation specification must conform to current
MOA or DEC requirements.
INSPECTIONS:
Typically there will be three (3) inspections required during the installation of the wastewater
disposal system. These inspections will occur as follows:
1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds
and before the installation of any gravel. A septic tank may be set in place, but may not be
backfilled before this inspection.
2. The second inspection must be conducted after the placement of the sewer rock, distribution
lines, standpipes, and cleanouts, but before the placement of the silt barrier, insulation, or any
other backfill.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required, especially with the installation of multiple
trenches, sand filters, pressurized distribution systems, etc. The inspecting engineer is to be contacted
at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take
place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's
activities.
The owner shall contract with the contractor to perform the work outlined in these specifications and
attached plans and in accordance with the attached MOA permit. All materials, components, and
construction practices shall comply with the MOA's and the State of Alaska's latest ordinances,
regulations, or policies regarding wells and septic systems. The failure of the inspecting engineer to
notice a material or construction non-compliance does not relieve the contractor of his/her
responsibility to correct such deficiency. There will be no contractual arrangement existing between
the contractor and KND Engineering, Inc. KND shall be the owner's representative and will inspect the
work as stated above to document the contractor's activities. Final acceptance of the contractor's work
rests with the owner and the MOA.
KND shall have no liability to the owner or to others for acts or omissions of the contractor or any
other persons performing work on this project or the failure of the contractor to carry out the work in
accordance with these construction documents. KND's inspecting engineer will not be responsible for
the construction means, methods, and techniques, sequence, procedures or the safety precautions
incident to this project.
BY PROCEEDING FORWARD WITH THE INSTALLATION OF THE WATER AND/OR
WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER
ACKNOWLEDGES HAVING READ AND ACCEPTED THESE SPECIFICATIONS.
Municipality of Anchorage
Development Services Department
�r Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.orglonsite
(907) 343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
To: KND Engineerim
Legal description: Sleepy Hollow #2 Subdivision Block 2. Lot 25
The attached paperwork has been reviewed and is being returned for the following reasons:
❑ Original signature or stamp missing on
❑ Calculation error in design.
❑ Additional soils information needed.
❑ Water monitoring results inadequate.
❑ Discrepancy in information submitted.
❑ Topographic information missing or inadequate.
❑ Incomplete; missing ,_
❑ Incomplete; missing _
❑ Additional adequacy test information needed. —
❑ Water sample unacceptable. _,
❑ Measured/proposed distances/dimensions missing.
❑ Locations of all soils, percolation and water monitoring tests not shown. —
❑ Proposed system too deep for soils information submitted.
❑ Well log required. —
❑ Omission in narrative.
M Insi ifririPnt fill over tank or field.
Name of reviewer: Julie Mokelo. P. E.
Date: 7/8/2005
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
ii�.f' /✓irsa..
Municipality of Anchorage
Development Services Department
Building Safety Division `^ h'
Onsite Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL.
FOR A SINGLE FAMILY DWELLING
Parcell.D. 051-511-16 COSA# Oil (23n2
Expiration Date:
1. GENERAL INFORMATION
Complete legal description SLEEPY HOLLOW #2, BLOCK 2. LOT 25
Location (site address) 23800 Mountain Circle, Chugiak. AK 99567
Current Property owners) Paul Stockier
Day phone
Mailing address 1309 W 16'h Avenue,
-
Anchorage, AK 99501
Lending agency
Day phone
Mailing address
Real Estate Agent Roy
Briley
Day phone
Mailing Address
Unless otherwise requested, COSA
will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
4
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER
DISPOSAL:
Individual Well
❑
Individual On-site
Individual Water Storage
❑
Individual Holding Tank
❑
Community Class C Well
®
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given In paragraph 4 by an Independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval
are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the Information
obtained from the Municipality of Anchorage files and from my Investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) In compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm ArcTerra Consulting Inc Phone 868-3792
Address 20441 PTARMIGAN BLVD. EAGLE RIVER AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 08/31/2009
Engineer's Comments: This Investigation was completed In compliance with ADEC and MOA regulations. The
assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow
and absorption rates may change due to subsurface conditions that may not be observed from the surface,
changes Inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the
water usage of the family being served by the system. The operational life of all well and septic systems are
subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore,
ArcTerra can not give any estimate of how long aOF A 12 OF
system will function satisfactory for current or future Q�e•••"""•••:4S
occupants or can ArcTerra guarantee that no unseen 0 C'J Z`4; 11,
encroachments, deficiencies or discrepancies exist. % *. 49TH /1: * &
5. DSD SIGNATURE
iz Approved for _ bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
;�••' o
ON-SITE
`VXTERtND-
WASTEWATER
PROGRAM
By: !v' ✓ Original Certificate Date:
(Rev. HAS)
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water S Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
.:CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: SLEEPY HOLLOW 92. BLOCK 2. LOT 25 Parcel ID: 051-511-16
A. WELL DATA
Well type Class "C" If A, B, or C provide PWSID # ADEC#5698 Well Log (Y/N) Y
Date completed 7114/05 Sanitary seat (YM) Y Wires property protected (YM) Y
Total depth 600 ft. Cased to 412 ft. Casing height (above ground) 4-1n.
FROM WELL LOG AT INSPECTION
Date of test 7114/05 8/20/2009
Static water level 151 ft. 181 ft.
Well production 12 g.p.m.I 7+ g.p.m. .
WATER SAMPLE RESULTS:
Coliform 0 colonies/100mL Nitrate 4.63 mg/L Other bacteria 0 colonies/100 mL
i
Arsenic: NO mg/I Date of sample: 8/20109 Collected by: ArcTerra. Inc
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/HDPE Date Installed 8130105 Tank size 1300 gal
Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N
High water alarm (Y/N) N Date of pumping 8M0/2009 Pumper Sanitary ;
C. ABSORPTION FIELD DATA
Date Installed 8130/05 Soil rating (glp.d./ft2 or fe/bdrm) 0.6 System type Deep Trench
Length 72 ft. Width 3 ft. .:•Gravel below pipe jjt. Total depth 13 ft.
Eff. absorption area 1006 ftp Monitoring tube Y 1 Depression over field Y
Date of adequacy test 8120/09 Results (Pass/Fail) Pass For 4 bedrooms
Fluid depth in absorption field before test A in. Water added 700 gal. New depth 2.4 in.
i
Elapsed Time: 20 min. Final fluid depth 0 In. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
D. LIFTSTATION
Date Installed Size in gallons
Manhole/Access (Y/N)
'Pump on' level at _in. 'Pump off level at _in.
High water alarm level at In.
Datum Cycles tested
Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 118'
On adjacent lots 1501+
Absorption field on lot 137'
On adjacent lots 1501+
Public sewer main 751+
Public sewer manhole/cleanout 100'+
Sewer/septic service tine 25'+
Holding tank 100'+
Animal containment areas 50'+
Manure/animal excrete storage areas 1001+
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO:
Building foundation 5'+ Property line5 +
Absorption field 5'+
Water main 10'+ Water service line
10'+ Surface water 1001+
Wells on adjacent lots 1001+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water Service line 10'+ Surface water 100'+
Driveway, parking/vehicle storage 10'+
Curtain drain 50'+ Wells on adjacent lots
1001+
F. COMMENTS
G. ENGINEER'S CERTIFICATION ���P;:••••T
AV 0?
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in �••
conformance with MOA COSA guidelines in effect on this date. ......
Engineer's Printed Name KENNETH M. DUFFUS
Date 08/31!2009 4,yPFESS1`Ai'�+u,'
COSA Fee $490.00 Waiver Fee $
Date of Payment Date of Payment
Receipt Number D / lil�� (j Receipt Number
(Rev. 11105)
SCS ReEM
1094332001
Client Name
AreTetra Engineering and Surveying
Project Name/4
Sleepy Hollow #2 B2,L25
Client Sample ID
Sleepy Ilollow #2 B2,L25
Matrix
Drinking Water
Sample Remarks:
Printed Date/rime
Collected Date/Time
Received Date/Time
Technical Director
08/31/2009 17:11
08/20/2009 13:20
08/20/2009 14:50
Stephen C. Ede
Allowable Prep Analysis
Parameter Results PQL Units htethod Container ID Limits Date Date Init
Metals by ICP/HS
Arsenic ND 5.00 ug/L 1P200.8 C (<10) 0826/09 0829109 NRB
Waters Department
Total Mtrate(Nitritc-N
Microbiology Laboratory
Colony Count
Total Coliform
Fecal Coliform
4.63
0.100 mg/L
SM204500NO3-F
B
(<10)
0821/09
RJT
0
col/100m,
SM209222B
A
(Q00)
0820/09
SDP
0
col/100ml.
SM209222B
A
(<I)
0820/09
SDP
0
col/100mi.
SM20922213
A
(<I)
0&20/09
SDP
Municipality of Anchorage
••'?- ^'
Development Services Department
Building Safety Division
Onsite Water and Wastewater Program „•
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLINGpz EE I SSU
Parcell.D. OS1-411-16 COSA#
Expiration Date:
GENERAL INFO]
Complete legal
Location (site address) NHN Mountain CirrIPShtigink. AK 519567
Current Property owner(s) Robert R Paula _CaMand Day phone 694-fi75A
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
Day phone
Day phone
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well '
❑
Individual On-site
Individual Water Storage
❑
Individual Holding Tank
❑
Community Class Q Well
®
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent I professional
civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the
transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal
and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site
Systems Approval are valid for 90 days from the date of issue for properties served by a private ori Class C well
and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one
year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or
a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for
this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe,
functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify
that based on the information obtained from the Municipality of Anchorage files and from my investigation
and Inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all
applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation.
Name of . KND ENrINFFRiNG*JNC�• • • 64; 111
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations.
The assessment of the condition of the well and septic applies only to the conditions as of the day tested.
The flow and absorption rates may change due to subsurface conditions that may not be observed from
the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the
year and the water usage of the family being served by the system. The operational life of all well and
septic systems are subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore, +���»��
KND can not give any estimate of how long a
system will function satisfactory for current or future d Pz..'o 1i
•q �q t��
occupants or can KND guarantee that no unseen ^_ ,,?. ••;rte ��
encroachments, deficiencies or discrepancies exist. !�t �i-
5. DSD SIGNATURE
_1t!:Lf Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA ChecIdist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
• ON-SITE
WASTEWATER
^MAAA . r
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: Original Certificate Date: — S —
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bregaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description- SIEM 14011M 02, RL13rK• r
A. WELL DATA
Well type Class 'C' If A. B, or C provide PWSID #_ Well Log (YIN) Y
I
Date completed 7/14/05 Sanitary seal (Y/N)Y Wires property protected (Y/N)Y
Total depth 600 ft. Cased to 412 ft. Casing height (above ground) JA In.
FROM WELL LOG AT INSPECTION
Date of test 7/14/05
Static water level 1 5 1 ft. ft.
Well production 12 g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform _AL— eolonies/100mL Nitrate 3.5 mg/L Other bacteria 0 oolonies/100 mL
Arsenic: -0 mg/1 Date of sampl8' 2/29 A 8/23/4)6 Collected by- KND Engineering. Inc
B. SEPTICIHOLDING TANK DATA
Tank Type/Material-1011c/HDPE Date installed 8/30/05 Tank size 1300 gal.
I
Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) h
High water alarm (YM) A -Date of pumping NA - New Tank Pumper
C. ABSORPTION FIELD DATA .
Date installed 8/30/05 Soil rating (g.p.d./fe or fefbdrm) O.6 System type
Length j_& ft. Width -3- R
Eff. absorption area 1008 fe
Gravel below pipe eft.
Monitoring tube Y
Date of adequacy test NA - New S.YMM
Fluid depth in absorption field before test _ in.
Elapsed Time: __-min. Final fluid depth --in.
Total depth J-31
Depression over field t
Results (Pass/Fail) Pass For, -!bedrooms
Water added_ gal.
Absorption rate
New depttL_in.
I
g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date -----
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
'Pump on' level at in. 'Pump off" level at n. High water alarm level at in.
Datum Cycles tested Masts alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 1 IS' On adjacent lots 15 0' +
Absorption field on lot 137'
Public sewer main 75'+
Sewer /septic service line 25'+
On adjacent lots 15 0' +
Public sewer manhole/cleanout 1 00'+
Holding tank 10 0 1 +
Animal containment areas 501+ Manure/animal excrete storage areas 10 0 1 +
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5 '+ Absorption field 5 1+
Water main 101+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 1001+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 101+ Building foundation 101+ Water main _10'+
Water Service line 10'+ Surface water 10 0 1 + Driveway. parking/vehide storage 10 1 +
Curtain drain 50'+ Wells on adjacent lots 10 0 1 +
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineers Printed Name KENNETH M. DUFF t-
�s�rF:1i
COSA Fee $ Waiver Fee $ _
Date of Payment Date of Payment
Receipt Number Receipt Number.
(Rev. 11/05)
_ .. is �; 1-...Z .' ii ... �., i ,. ., i :i �1.,,• t
DEPT. OF ENVIRONMENTAL CONSERVATION
DIVISION OF WATER
WASTEWATER DISCHARGE PROGRAM
July 12, 2006
Kenneth M. Duffus, P.E.
KND Engineering
20441 Ptarmigan Blvd.
Eagle River, Alaska 99577-8736
Frank Murkowski, Governor
555 CC DOVA
ANCHORAGE, AK 99501
Phone: (907)269-7519
Fax: (907)269-3487
http://www.state.ak.us/dec/
Re: Sleepy IIollow # 2, Block 2, Lot 25- Waivers for a Class C Public Water System-
ADEC Plan Tracking Number 5698
Dear Mr. Duffus:
On June 6, 2006 we received an engineering waiver request for a Class C Public Water System
serving Lot 24 and 25 at the above location. The Class C Public Water System is designed to
serve a total of 9 bedrooms or 18 people. An onlot wastewater treatment system consisting of a
1,300 gallon two compartment septic tank and a deep trench type soil absorption system were
developed as a single family for a 4 bedroom home on Lot 25.
Based up the engineer's recommendation, soils information at the site, the existing well log, and
the results of sampling from the source well per the Wastewater Regulation 18 AAC 72.020.(a)
(1) the following separation distance waivers at Lot 25, Block 2, Sleep IIollow Subdivision are
hereby established.
• The separation distance from the source well is reduced from 150 feet to 118
feet to the existing 1,300 gallon two compartment septic tank.
• The separation distance from the source well to the deep trench type soil
absorption system is reduced from 150 feet to 137 feet.
The drinking water samples taken on February 23, 2006, from the well had a Nitrate -N level of
4.28 mg/l. An earlier sample taken in August of 2003 on Lot 19, Block 2, Sleepy Hollow # 2 had
a level of 1.96 mg/l, therefore, due to increasing nitrate levels annual samples for Nitrate -N must
be taken for this water system. Should the nitrate level continue to increase treatment of the
source water to protect the users may be required. The present maximum contaminate level
(MCL) for nitrate is 10 mg/l (Drinking Water Regulation 18 AAC 80.300(b)(1)).
This approval does not imply the granting of additional authorizations nor obligate any state,
federal or local regulatory body to grant required authorizations.
Any person who disagrees with this decision may request an adjudicatory hearing in accordance
with 18 AAC 15.195- 18 AAC 15.340 or an informal review by the Division Director in
accordance with 18 AAC 15.185. Informal review requests must be delivered to the Division
Director, 555 Cordova Street, Anchorage, Alaska 99501, within 15 days of receiving the decision.
Adjudicatory hearings requests must be delivered to the Commissioner of the Department of
Environmental Conservation, 410 Willoughby Avenue, Suite 303, P.O. Box 111800, Juneau,
Alaska 99801, within 30 days of the decision. If a hearing is not requested within 30 days, the
right to appeal is waived.
Thank you for your cooperation. If you have any questions please do not hesitate to contact me at
269-7519. 1
Respectfully,
William R. Rieth, P.E.
Environmental Engineer
cc: William Smyth, WW,.
SGS Ref. #:
Client Name:
Project Name:
Client Sample ID:
Matrix:
PWSID
1064890
KND Engineering
Sleepy Hollow #2, L25, B2
Sleepy Hollow #2, L25, B2
Drinking Water
SGS Environmental Services
200 W. Potter Drive
Anchorage, AK 99518
Tel: (907) 562-2343
Fax: (907) 561-5301
All dates/times are Alaska Standard Time
Printed DateTme: .08/25/06 15:15
Collected Date/rime: 08/22/06 11:30
Received Daterrime: 08/22/06 12:12
Technical Director: Stephen EdeX
Released
Inc
Allowable
Prep
Analysis
Parameter Results POL Units Method Limits
Date
Date Init
Bacteria 0.00 9222B
0822/06
I
0822/06 tlf
Nitrate 3.50 0.10 mg/L EPA 300.0 10.00
0822/06
0822/06 air
-Ear, L JCSZC.Q
Municipality of Anchorage
Development Services Department
Building Safety Division ;
On -Site Water and Wastewater Program , r�
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel l.D.1151-51 1-16 COSA# 060/06
Expiration Date: %— 2- 5 Or.
1. GENERAL INFORMATION
Complete legal description SLF_FPY HOLLOW #2, BLOCK 2, LOT 25
23800
Location (site address) NHN Mountain rorrle ChDgiak, AK 99567
Current Property owner(s) Rnh rt�a
ra3mood
Day phone 694-8758
Mailing address 11517
Olt Glenn HzU-
Fagle River AK 99577
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
_4
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
®
Individual On-site
Individual Water Storage
❑
Individual Holding Tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of Onsite Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional
civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the
transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal
and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site
Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well
and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one
year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or
a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for
this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe,
functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify
that based on the information obtained from the Municipality of Anchorage files and from my investigation
and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all
applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation.
,.ellill I lei I I 1159.. .
:
Engineer's Printed Name_ KENNETH M_ D ►FF114 Date
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations.
The assessment of the condition of the well and septic applies only to the conditions as of the day tested.
The flow and absorption rates may change due to subsurface conditions that may not be observed from
the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the
year and the water usage of the family being served by the system. The operational life of all well and
septic systems are subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore,
KND can not system will function sive atisfactory ( tisfaory for cuestimate of rrent long
future OF At. %,ti
!
occupants or can KND guarantee that no unseen �.LP,.••"�"'•••.• S
encroachments, deficiencies or discrepancies exist ,! '•?4 ��
5. DSD SIGNATURE
Approved for bedrooms.
Disapproved.
Conditional approval for
Attachments:
COSA Checklist X
bedrooms, with the following stipulations:
Arsenic Advisory
WATER AND
1AI.^111. 11--- �
PROGRAM
i/" .......0
Septic System Advisory Maintenance Agreements .
Well Flow Advisory Supplemental Engineer's Report
Nitrate Advisory Other
By:---1j�?G1✓U ^/ �y • Original Certificate Date: "7' "-z-0 0
(Rw.,,A5) /' / %�
Municipality of Anchorage
Development Services Department
Building Safety Division `
On -Site Water 8 Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description* At FFPY HQI I OW #?- BLOCK 2- 1 OT 25 — Parcel ID: flc;l--I;l 1-1 F;
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID # Well Log (YIN) Y
Date completed 7/14/05 Sanitary seal (YIN).Y Wires properly protected (YIN) Y
Total depth 600 ft. Cased to X12•
FROM WELL LOG
Date of test 7/14/05
Static water level 1511 ft.
Well production 12 g.p.m.
WATER SAMPLE RESULTS:
Casing height (above ground) 24 in.
AT INSPECTION
9—
P.m-
Coliform __Q_coloniesl100mL Nitrate L Other bacteria _0 oolonies/100 mL
Arsenic: _RD mg/I Date of sample: 2/23/2006 Collected by: KND Engineering. Inc
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material septic/HDPE Date installed 8/30/05 Tank size 1300 gal.
Number of Compartments 2 Cleanouts (YIN).Y Foundation cleanout (YM) Y Depression over tank (YIN) N
High water alarm (YIN) lLDate of pumping ,NA -New Tank Pumper
C. ABSORPTION FIELD DATA
Date installed 8/30/05 Soil rating (g.p.d./fe or fe/bdrm) 0.6 System type Deep Trench
Length ]jam ft. WMdth _L It. Gravel below pipe Zft. Total depth .0 ft.
Eft. absorption area 1008 fe Monitoring tube.Y Depression over field N
Date of adequacy test NA - New System_ Results (Pass/Fail) Pass For _4.__ bedrooms
Fluid depth in absorption field before test _ in.
Elapsed Time: ---min. Final fluid depth --in.
Water added_ gal. New depth—in.
Absorption rate >=
Any rejuvenation treatment (past 12 mo.) (YIN 8 type) If yes, give date -----
��
D. LIFT STATION
Date Installed Size in gallons Manhole/Access (Y/N)
'Pump on' level at in. `Pump otr level at n. High water alarm level at—fn.
Datum Cycles tested Meets alarm 8 circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+
Absorption field on lot 100'+
Public sewer main 75'+
Sewer /septic service tine 25'+
On adjacent lots 10 0'+
On adjacent lots 100'+
Public sewer manhole/cleanout 100'+
Holding tank 10 0 1 +
Animal containment areas 50'+ Manure/animal excrete storage areas 10 0'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5 '+ Absorption field 5 ' +
Water main 10'+ Water service line 101+ Surface water 10 0 1 +
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main _ 10'+
Water Service line 10'+ Surface water 10 0 1 + Driveway, parkirglvehide storage 10'+
Curtain drain 50'+ Wells on adjacent kits1 00'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I car* that I have determined through held inspections and " IF
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this ..
date.
Engineers Printed Name KENNETH M. DLIFFLI
L rL1Afel r r .
COSA Fee $430.00
Date of Payment -3. 9 Z0 b
Receipt Number 79/3-2—
(Rev.
A/3-2–
(Rev. I IMS)
Waiver Fee $
Date of Payment
Receipt Number
SCS RcEN
1060890002
Client Name
KND Engineering
Project Name/a
Eklutna fits and Sleepy Hollow
Client Sample ID
Sleepy Ifollow 2 B2 L25
Matrix
Drinking Water
PWSID
0
All Dates/fimes are Alaska Standard Time
Printed Date/time
03/03/2006 14:46
Collected Date/time
02232006 13:30
Received Date/time
02232006 14:34
Technical Director
Stephen C. Ede
Sample Remarks:
Allowable Prep Analysis
Parameter Results PQL Units Method Container ID Limits Date Date Init
Metals by ICP/MS
Arsenic
Waters Department
Nitratc-N
Mierobioloay Laboratory
Total Coliform
ND
4.28
0
5.00 ug/l, EP200.8
0.100 mg/L EPA 353.2
C (<=10) 0228/06 03/02/06 SCL
B (<-10)
coV100mL SM209222B A (<-I)
0223/06 JC
0223/06 TLF
T�
ASBUILT SEWARD 6 ASSOCIATES LAND SURVEYING 694
1 HEREBY CERTIFY THAT I HAVE SURVEYED -THE SCh'Es
FOLLOWING DESCRIBED PROPERTY= SOF AC���
S«i�alad�iB�y zocTzs opt r DATE= '9
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS Z���! i�Q ••• S�f-��
INDICATED. IT IS THE RESPONSIBILITY OF THE ; �: 4 •
OWNER TO DETERMINE THc- EXISTENCE OF ANY GRID:H .
EASEMENTS, COVENANTS,, OR RESTRICTIONS '
WHICH DO NOT APPEAR ON THE RECORDED SUSDI- 0o... Merle Sword
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB` 1 1S-6918 Ar
ANY DATA HEREON BE USED FOR CONSTRUCTIONOFFENCE
�f �.'• •• y� �
ARY LINES. DRAWN:
OR FOR ESTABLISHING BOUND DRAWN��1 �h\��T��"r